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MARION COUNTY' BUILDING INSPECTION <br />SENATORBLDG NO 22§ <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:80 <br />24 HOUR CODE-A-PHON~: 588-7904 <br /> <br /> Other .... <br /> <br />DATE: 31/20790 TIff~g: 15':01;P5 <br /> <br /> OP~"C~ 1 A, din <br /> <br /> 11190 <br />AURORA <br /> <br />EHLEN RO NE <br /> <br />OR 97002 <br /> <br />17 <br /> <br />N1AWI ON COUNTY NO <br /> <br /> VALUAT iON ~ <br /> <br />4S lW CPU <br />AC IRRSG LOT YES c°n~O <br /> <br />4 <br /> <br />TYP~: ON-~iIE SEWAGE <br /> <br />PER, il OR APPLICAT/ON NO: 9028883 <br /> <br />CXJNf~.AC, TOR, NO, <br />OgG'OSTA, JiM <br /> 114~4 EHLEN RD NE <br />AURORA, OR 9?002 <br /> <br />NATER ,~q. JPPDY: P~ <br /> HOLES RE. ADY: <br /> gVALUATION NUMBER: 28518 <br /> ~IST~NG T~K ~IZE: <br /> ~]JN~ D~iN FIELD <br /> <br />PREVi~S NO, <br /> <br />TOTAL A~E~SEO ff'~E~ <br />PREViOU~ RECEIPTS <br />THIS RE~EIP'F <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br /> $110.00 <br /> $o.oo <br /> <br /> $0.00 <br /> <br /> 30~84 <br /> 7041 <br /> <br />  <br /> 'TYPE: OK GHFCK <br /> <br /> SEE ATTACHED ~M~T FOR RE~IR~r~ OF ~-~lr~ S~E ~T~. <br /> <br />* THIS ZS NOT A PE~[T, THi~ ~[CATI~ ~T ~ TH~ A REVIE~ P~ ~ERE THE <br />FOL~iNG ~T 8E ~PLETED, iT iS THE R~IBiLITY OF THE APPLIC~T TO ~URE THAT <br />ALL NEC~ JNFQ~TJ~ H~ BE~ <br /> <br />CIFY JURISDiCTION~ ~Y OAIE <br /> <br />~on~ ~ ~c, o-s* nsv .~ OF FICE COPY <br /> <br /> <br />